The final step to the perfect PICO search is to determine the level of evidence within each relevant article.

The final step to the perfect PICO search is to determine the level of evidence within each relevant article. In searching for the best available evidence, a hierarchy exists regarding the level and strength of evidence (see Fig. below). As you review the journal articles found in discussion 4, select those that are based on the highest level of evidence.

Image of Level of evidence pyramid

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Instructions:

Review and use the John Hopkins Appendix H Form to locate and identify the best level of evidence to answer your developed PICOT question for the Literature Review (attached the completed form to this discussion).

Title the discussion with the PICOT question (Among critically ill patients in the ICU (P), does the implementation of structured turning protocols (I) compared to standard turning practices without a protocol (C) result in a significant reduction in the development and severity of pressure injuries (O) over a period of one month (T)?)

Initial post: Your post should be within a range of 150-200 words and respond to the following question?

Identify the level type of category of the evidence for the literature review.

Now that you see all the studies together identify the overall strength of the evidence (strong, compelling, etc.).

Now ask yourself what can be implemented why or why not (feasibility).

Cite your references APA 7th ed. (not included in the length of the post).